MARTHA M HICKNER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086168

License Status

INACTIVE

Business

First Name

MARTHA M

Last Name

HICKNER

Suffix

Business Name

MARTHA M HICKNER MD

Original Issue Date

05/18/1993

Effective Date

05/18/1993

Expiration Date

07/31/1996

City

MINNEAPOLIS

State

Zip

55408

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/20/2006